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Organization
OREGON CVS PHARMACY LLC
Active
Organization
OREGON CVS PHARMACY LLC
Active
Other names
CVS PHARMACY 11283
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
(401) 770-2751
Entity
Organization
Contact information
Practice address
4025 MERCANTILE DR STE 110, LAKE OSWEGO, OR 97035-2551
(503) 387-8167
Mailing address
1 CVS DR # 1075, WOONSOCKET, RI 02895-6146
(401) 765-1500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
04/01/2021
Last updated
05/12/2021
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